Networking Speaker Request Form

Thank you for your interest in having Teresa Thomas present for your group.

Please submit the following details. We will review your request and contact you within 5 business days.

For more information and testimonials about Teresa Thomas and her presentations, workshops and book please visit www.teresa-thomas.com

Group, Company or Campus submitting request

Name of primary contact
FirstLast

Email

Phone Number
###-###-####

Venue/Event Location

How would you like the networking information shared at your event?

Workshop: Networking Success StrategiesWorkshop: 50 Fun Things (a tool to deepen connections and add joy and fulfillment personally and professionally)Facilitated event opener to help attendees meet new people Facilitated Supercharged Speed NetworkingConference networking emcee (integrate connections and learning throughout the event)Presentation: How to Tap Into the Power of Win/Win Connections Presentation: Take Your Elevator Speech to the Next Level Presentation: How to Make an Instant Impact in Your NetworkingOther (please note below)

What is the DATE of your event? Please include the TIMEFRAME for event and presentation (For example: Event on X date goes from 9-11am with 45 minutes of presentation time)

NUMBER of attendees anticipated and AUDIENCE DEMOGRAPHIC (e.g. small business owners, students/recent graduates/alumni, financial planners, corporate staff, women in business...)

BUDGET: What is the speaking budget you need to stay within? Is there a materials budget? If travel outside of the Twin Cities MN area is necessary, are expenses covered?

OTHER NOTES: What other information would you like to share or ask about?